RISK FACTORS OF STROKE SURVIVORS’ QUALITY OF LIFE
Abstract: Stroke can lead into
long-term disabilities which may affect stroke survivors’ quality of life
(QOL). The importance of stroke survivors’ QOL is still getting little
attention.
Objective : To know stroke survivors’ QOL and the risk factors associate
with, i.e.:sociodemographic, activity daily living, cognitive, and depression.
Methodology : This cross-sectional study was conducted in April-October
2014 at neurology clinic Dr.Sardjito Hospital, Yogyakarta. Subjects’ criteria
were minimal four weeks after the first stroke incident and came with their
primary caregiver. Subjects were interviewed about their sociodemographic
condition and were given WHOQOL-BREF, Mini Mental State Examination (MMSE), and
Beck Depression Inventory (BDI) questionnaires. Meanwhile, their caregiver was
interviewed with Barthel Index (BI) questionnaire. Bivariate chi-square and
logistic regression analysis was done.
Results : There were 64 subjects analyzed. QOL domain affected the most
is physical, while the least is environment. Bivariate analysis found not
working after stroke and higher BDI score associate with lower WHOQOL-BREF
physical (r=9.286, p<0.01 and r=5.361, p<0.05) and psychological
(r=3.935, p<0.05 and r=14.527, p<0.001) domain. No risk factor associates
with WHOQOL-BREF social relationship domain. Higher BDI score associates with
lower WHOQOL-BREF environment domain (r=5.861, p<0.05). Regression analysis
shows older age (p<0,05) and not working after stroke (p<0,01) are risk
factors for lower WHOQOL-BREF physical domain, while higher BDI score is risk
factor for lower WHOQOL-BREF psychological (p<0,01) and environment
(p<0,05) domain.
Conclusions : Older age and not working after stroke incident are risk
factors for physical domain of QOL. Depression is risk factor for psychological
and environment domain of QOL.
Keywords: risk factor, quality
of life, stroke, depression
Author: Oktania Candrawati
Journal Code: jpkedokterangg170279
